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<br />-~ <br /> <br />Ll <br /> <br />--w- _ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT S~V{~'<'\...;~, G.U~~ <br />ADDRESS 3')\\ <1'Vo.>C~ "\:),'\\{0 <br />OWNER S~Q.\f~~ Ct. ~ \\\.~<2.. K, \..s.uck~ <br />JOB LOCATION39\\Cj '\)CU\~ '1)'f'\\fe- LOT SIZE\\\) ~ AREA SQ.FT. <br />I <br />LEGAL DESCRIPTION: LOT(S) Cj ~ \ 0 BLOCK SUBDIVISION 2q~' t\J\1s, <br />PARCEL I. D. f~ Rt:> 5 ) 'Vo..Je.- S<::J '. "'PR 1=>~ c...~') Fl . ~ I.\: I 3S 7 <br />WORK PROPOSED:_New Construction VAddition _Alteration ~Repair _Install <br /> <br />PHONE <br /> <br />"i. ~~~ .232.2- <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move _Demolish <br /> <br />PROPOSED USE: ~single Family <br /> <br />_M/F <br /> <br />_# of Units ,._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~ 3 X Z 9 , 3'11 Square Feet, <br />(\ ~ ')(; \ ~,t.AL'-\:I..()~'J. \ ~)C,.\~ ~~>-nV\,\) <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OY BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />Height <br /> <br />& (1) SET ENERGY FORMS.** <br />FORMS,** <br /> <br />-LBUILDING <br /> <br />~#;2.0!") (;) <br />$ ~()()~~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W,R.E,C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />V ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />(s '\ CONTRACTOR SECTION . <br />BUILDER el~..J :S~Q..l{'~ ~ . b c.k:::J Company <br />nil. tt ~ State Cert. or Regist, !~ <br />Signature~L7AJX/, ~ City License Registration it <br />**** *********************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />F.T ,F.CTRT ClAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registratio,n l~ <br />****************************************** <br /> <br />PLUMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # - <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />, . <br /> <br />*::J;~~*********.***'k* * ,',** ******** <br /> <br />( ,j~ .'\ '. <br /> <br />, ,,-.........J ,,' ..r.." .....V. ......,1..",. <br />'.' ;. Y',~ W"""~""-.l~j ,.... <br /> <br />PERMIT OFFICER. <br /> <br />, APPJ,.,~CA;rION. t}~fJ\QoVED BY <br /> <br />. ~ <br />'o(i "\,:-~,; j :.('.~ ;'~", ~,.;:..:~",..; ......i ..~". <br />